Randomized Trial of Psychological Interventions to Preventing Postpartum Depression among Iranian First-time Mothers
Identifieur interne : 000048 ( Main/Exploration ); précédent : 000047; suivant : 000049Randomized Trial of Psychological Interventions to Preventing Postpartum Depression among Iranian First-time Mothers
Auteurs : Ali Fathi-Ashtiani [Iran] ; Ahmad Ahmadi [Iran] ; Bagher Ghobari-Bonab [Iran] ; Mohammed Parsa Azizi [Iran] ; Sayeh Moosavi Saheb-Alzamani [Iran]Source :
- International Journal of Preventive Medicine [ 2008-7802 ] ; 2015.
Abstract
The current study was conducted to examine the effect of cognitive behavior therapy on the reduction postpartum mood disorder and increasing the self-esteem of at-risk Iranian mothers.
In this quasi-experimental study, 135 at-risk mothers were selected from the population by means of cluster sampling and randomly assigned into one of two groups: Intervention (
The mean age of participants was 25.8 ± 3.7 years. One-third of them had either bachelor or higher degrees in education (33%). About two-third of participants were unemployment with similar distribution in both the groups (intervention = 80%, control = 83%). The majority (70%) of the participants had cesarean section deliveries. There were no statistically significant differences respects to sociodemographic characteristics between the control and intervention groups (
According to the findings of the present study, cognitive behavior intervention is effective in reducing PPD in at-risk mothers.
Url:
DOI: 10.4103/2008-7802.169078
PubMed: 26682030
PubMed Central: 4671165
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Randomized Trial of Psychological Interventions to Preventing Postpartum Depression among Iranian First-time Mothers</title><author><name sortKey="Fathi Ashtiani, Ali" sort="Fathi Ashtiani, Ali" uniqKey="Fathi Ashtiani A" first="Ali" last="Fathi-Ashtiani">Ali Fathi-Ashtiani</name><affiliation wicri:level="1"><nlm:aff id="aff1">Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Ahmadi, Ahmad" sort="Ahmadi, Ahmad" uniqKey="Ahmadi A" first="Ahmad" last="Ahmadi">Ahmad Ahmadi</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Ghobari Bonab, Bagher" sort="Ghobari Bonab, Bagher" uniqKey="Ghobari Bonab B" first="Bagher" last="Ghobari-Bonab">Bagher Ghobari-Bonab</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Azizi, Mohammed Parsa" sort="Azizi, Mohammed Parsa" uniqKey="Azizi M" first="Mohammed Parsa" last="Azizi">Mohammed Parsa Azizi</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Saheb Alzamani, Sayeh Moosavi" sort="Saheb Alzamani, Sayeh Moosavi" uniqKey="Saheb Alzamani S" first="Sayeh Moosavi" last="Saheb-Alzamani">Sayeh Moosavi Saheb-Alzamani</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Midwifery, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Midwifery, School of Public Health, Zanjan University of Medical Sciences, Zanjan</wicri:regionArea><wicri:noRegion>Zanjan</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26682030</idno><idno type="pmc">4671165</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671165</idno><idno type="RBID">PMC:4671165</idno><idno type="doi">10.4103/2008-7802.169078</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000010</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000010</idno><idno type="wicri:Area/Pmc/Curation">000010</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000010</idno><idno type="wicri:Area/Pmc/Checkpoint">000032</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000032</idno><idno type="wicri:Area/Ncbi/Merge">000322</idno><idno type="wicri:Area/Ncbi/Curation">000322</idno><idno type="wicri:Area/Ncbi/Checkpoint">000322</idno><idno type="wicri:doubleKey">2008-7802:2015:Fathi Ashtiani A:randomized:trial:of</idno><idno type="wicri:Area/Main/Merge">000048</idno><idno type="wicri:Area/Main/Curation">000048</idno><idno type="wicri:Area/Main/Exploration">000048</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Randomized Trial of Psychological Interventions to Preventing Postpartum Depression among Iranian First-time Mothers</title><author><name sortKey="Fathi Ashtiani, Ali" sort="Fathi Ashtiani, Ali" uniqKey="Fathi Ashtiani A" first="Ali" last="Fathi-Ashtiani">Ali Fathi-Ashtiani</name><affiliation wicri:level="1"><nlm:aff id="aff1">Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Ahmadi, Ahmad" sort="Ahmadi, Ahmad" uniqKey="Ahmadi A" first="Ahmad" last="Ahmadi">Ahmad Ahmadi</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Ghobari Bonab, Bagher" sort="Ghobari Bonab, Bagher" uniqKey="Ghobari Bonab B" first="Bagher" last="Ghobari-Bonab">Bagher Ghobari-Bonab</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Azizi, Mohammed Parsa" sort="Azizi, Mohammed Parsa" uniqKey="Azizi M" first="Mohammed Parsa" last="Azizi">Mohammed Parsa Azizi</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Psychology, Faculty of Psychology and Education, Tehran University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Saheb Alzamani, Sayeh Moosavi" sort="Saheb Alzamani, Sayeh Moosavi" uniqKey="Saheb Alzamani S" first="Sayeh Moosavi" last="Saheb-Alzamani">Sayeh Moosavi Saheb-Alzamani</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Midwifery, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Midwifery, School of Public Health, Zanjan University of Medical Sciences, Zanjan</wicri:regionArea><wicri:noRegion>Zanjan</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Preventive Medicine</title><idno type="ISSN">2008-7802</idno><idno type="eISSN">2008-8213</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>The current study was conducted to examine the effect of cognitive behavior therapy on the reduction postpartum mood disorder and increasing the self-esteem of at-risk Iranian mothers.</p></sec><sec id="st2"><title>Methods:</title><p>In this quasi-experimental study, 135 at-risk mothers were selected from the population by means of cluster sampling and randomly assigned into one of two groups: Intervention (<italic>n</italic> = 64), or control (<italic>n</italic> = 71). The control group received usual medical care, and the intervention group received an eight sessions’ cognitive behavior program during pregnancy. Assessments were administered at two time points (pretest at the beginning of the third trimester and posttest at 2 weeks postpartum). Beck anxiety, beck depression, Edinburgh postpartum depression, (PPD) Coopersmith self-esteem, and religious attitude questionnaire were used to collect data.</p></sec><sec id="st3"><title>Results:</title><p>The mean age of participants was 25.8 ± 3.7 years. One-third of them had either bachelor or higher degrees in education (33%). About two-third of participants were unemployment with similar distribution in both the groups (intervention = 80%, control = 83%). The majority (70%) of the participants had cesarean section deliveries. There were no statistically significant differences respects to sociodemographic characteristics between the control and intervention groups (<italic>P</italic> > 0.05). The multivariate analysis of covariance results showed that the average scores of PPD were reduced significantly in the intervention group (<italic>P</italic> < 0.001). Also while the mean score of anxiety in the intervention group decreased from 23.31 (standard error [SE] =12.11) to 16.64 (SE = 8.33) and self-esteem increased from 29.09 (SE = 3.51) to 31.81 (SE = 2.76), no change was statistically significant in comparison to the control group.</p></sec><sec id="st4"><title>Conclusions:</title><p>According to the findings of the present study, cognitive behavior intervention is effective in reducing PPD in at-risk mothers.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kingston, D" uniqKey="Kingston D">D Kingston</name></author><author><name sortKey="Heaman, M" uniqKey="Heaman M">M Heaman</name></author><author><name sortKey="Fell, D" uniqKey="Fell D">D Fell</name></author><author><name sortKey="Dzakpasu, S" uniqKey="Dzakpasu S">S Dzakpasu</name></author><author><name sortKey="Chalmers, B" uniqKey="Chalmers B">B 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Ghalamkarian</name></author><author><name sortKey="Heyrat, A" uniqKey="Heyrat A">A Heyrat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bazmi, Mj" uniqKey="Bazmi M">MJ Bazmi</name></author><author><name sortKey="Allahvirdiyani, K" uniqKey="Allahvirdiyani K">K Allahvirdiyani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dein, S" uniqKey="Dein S">S Dein</name></author><author><name sortKey="Cook, Cc" uniqKey="Cook C">CC Cook</name></author><author><name sortKey="Koenig, H" uniqKey="Koenig H">H Koenig</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Akerblad, Ac" uniqKey="Akerblad A">AC Akerblad</name></author><author><name sortKey="Bengtsson, F" uniqKey="Bengtsson F">F Bengtsson</name></author><author><name sortKey="Ekselius, L" uniqKey="Ekselius L">L Ekselius</name></author><author><name sortKey="Von Knorring, L" uniqKey="Von Knorring L">L von Knorring</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Austin, Mp" uniqKey="Austin M">MP Austin</name></author><author><name sortKey="Frilingos, M" uniqKey="Frilingos M">M Frilingos</name></author><author><name sortKey="Lumley, J" uniqKey="Lumley J">J Lumley</name></author><author><name sortKey="Hadzi Pavlovic, D" uniqKey="Hadzi Pavlovic D">D Hadzi-Pavlovic</name></author><author><name sortKey="Roncolato, W" uniqKey="Roncolato W">W Roncolato</name></author><author><name sortKey="Acland, S" uniqKey="Acland S">S Acland</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Iran</li></country></list><tree><country name="Iran"><noRegion><name sortKey="Fathi Ashtiani, Ali" sort="Fathi Ashtiani, Ali" uniqKey="Fathi Ashtiani A" first="Ali" last="Fathi-Ashtiani">Ali Fathi-Ashtiani</name></noRegion><name sortKey="Ahmadi, Ahmad" sort="Ahmadi, Ahmad" uniqKey="Ahmadi A" first="Ahmad" last="Ahmadi">Ahmad Ahmadi</name><name sortKey="Azizi, Mohammed Parsa" sort="Azizi, Mohammed Parsa" uniqKey="Azizi M" first="Mohammed Parsa" last="Azizi">Mohammed Parsa Azizi</name><name sortKey="Ghobari Bonab, Bagher" sort="Ghobari Bonab, Bagher" uniqKey="Ghobari Bonab B" first="Bagher" last="Ghobari-Bonab">Bagher Ghobari-Bonab</name><name sortKey="Saheb Alzamani, Sayeh Moosavi" sort="Saheb Alzamani, Sayeh Moosavi" uniqKey="Saheb Alzamani S" first="Sayeh Moosavi" last="Saheb-Alzamani">Sayeh Moosavi Saheb-Alzamani</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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